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Income Taxes - Schedule of Reconciliation of the Federal Statutory Income Tax Rate and the Company's Effective Income Tax Rate (Detail)
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Income Tax Disclosure [Abstract]      
Federal statutory income tax rate (21.00%) (34.00%) (34.00%)
State income taxes (8.60%) (6.90%) (6.70%)
Research and development tax credits (4.70%) (3.40%) (2.80%)
Stock-based compensation (0.60%) 3.60% 1.90%
Change in U.S. tax rate   18.70%  
Change in valuation allowance 34.90% 22.00% 41.60%